Cancer treatment decision-making among young adults with lung and colorectal cancer: a comparison with adults in middle age

Psycho-oncology
Jennifer W MackNancy L Keating

Abstract

Our aim is to understand experiences with treatment decision-making among young adults with cancer. We studied patients with lung cancer or colorectal cancer in the Cancer Care Outcomes Research and Surveillance Consortium, a prospective cohort study. We identified 148 young adult patients aged 21-40 years who completed baseline interview questions about cancer treatment decision-making; each was propensity score matched to three middle adult patients aged 41-60 years, for a cohort of 592 patients. Patients were asked about decision-making preferences, family involvement in decision-making, and worries about treatment. An ordinal logistic regression model evaluated factors associated with more treatment worries. Young and middle-aged adults reported similar decision-making preferences (p = 0.80) and roles relative to physicians (p = 0.36). Although family involvement was similar in the age groups (p = 0.21), young adults were more likely to have dependent children in the home (60% younger versus 28% middle-aged adults, p < 0.001). Young adults reported more worries about time away from family (p = 0.002), and, in unadjusted analyses, more cancer treatment-related worries (mean number of responses of 'somewhat' or 'very' worried...Continue Reading

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Citations

Jul 17, 2018·Annals of Oncology : Official Journal of the European Society for Medical Oncology·F ScottéF Strasser
Jun 8, 2017·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Nicole M CranleyJuliette Christie
Jul 29, 2017·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·L Aubree ShayHelen M Parsons

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